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From the Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan.
The association of myotonic dystrophy and hyperthyroidism is rare. In the first such case in Japan, hyperthyroidism induced severe exacerbation of muscle weakness, which improved when the thyroid disorder was treated.
Address correspondence and reprint requests to Dr. Okuno, Department of Internal Medicine, School of Medicine, Keio University, 35, Shinanomachi, Shinjuku-ku, Tokyo 160, Japan.
Accepted for publication April 3, 1980.
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